Individual
ALICE N MITWARUCIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
620 N 48TH ST STE 202, LINCOLN, NE 68504-3466
(402) 489-6196
(402) 465-8717
Mailing address
5800 CORNHUSKER HWY, LINCOLN, NE 68507-3175
(402) 421-1182
(402) 465-8717
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
841
NE
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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